DR. RONALD JERRY PANCNER (NPI# 1316980576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316980576 |
Entity Type | Individual |
Full Name | DR. RONALD JERRY PANCNER |
Credential | MD |
Practice Address |
2805 Fairfield Ave Fort Wayne IN 46807-1218 |
Practice Telephone | 2604564880 |
Practice Fax Number | 2604563559 |
Mailing Telephone | 2604564880 |
Mailing Fax Number | 2604563559 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2011-11-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01019854 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100463070 | 05 |
Street Address |
2805 FAIRFIELD AVE |
City | FORT WAYNE |
State | IN |
Zip Code | 46807-1218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245529734 | Carol Herndon | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2011-04-05 |
1801019096 | Pancner Psychiatric Associates, PC | Psychologist | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2007-04-10 |
1053488197 | Galen Arthur Yordy | Psychologist | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-11-30 |
1144392192 | Michael H Bergeron | Counselor | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-11-14 |
1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
1720199045 | Sandra L Ruen | Social Worker | 2805 Fairfield Ave, C/o Tamara Roller, Fort Wayne, IN 46807-1218 | 2006-08-31 |
1265542856 | Paul Lentfer Pancner | Counselor | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-08-30 |
1487671996 | Michael J Didier | Marriage & Family Therapist | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
1417019241 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2524 Beechwood Cir, Fort Wayne, IN 46807-1201 | 2006-12-15 |
Find all providers in zip 46807 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407166077 | Professional Psychiatric Services, LLC | Psychiatry & Neurology | 6203 Constitution Dr, Fort Wayne, IN 46804-1517 | 2010-10-18 |
1023233939 | David T Holmes Md PC | Psychiatry & Neurology | 7224 Engle Rd # 120, Fort Wayne, IN 46804-2222 | 2007-04-16 |
1447303326 | Joseph Paul Fiacable | Psychiatry & Neurology | 2426 Lake Ave, Fort Wayne, IN 46805-5406 | 2007-01-22 |
1013072180 | Raj Clinics Professional Services Corporation | Psychiatry & Neurology | 315 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2006-12-27 |
1588676415 | S. Christopher Shim | Psychiatry & Neurology | 415 E Cook Rd Ste 500, Fort Wayne, IN 46825-3657 | 2006-08-12 |
1790762078 | Alycia Brown | Psychiatry & Neurology | 1818 Carew St Ste 230, Fort Wayne, IN 46805-4764 | 2005-12-28 |
1417940909 | Mahender Reddy Surakanti | Psychiatry & Neurology | 7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804 | 2005-08-30 |
1245237411 | Prevesh K Rustagi | Psychiatry & Neurology | 3400 E Coliseum Blvd, Suite 340, Fort Wayne, IN 46805-1644 | 2005-07-03 |
1619377280 | Vinita Prasad | Psychiatry & Neurology | 1818 Carew St Ste 230, Fort Wayne, IN 46805 | 2014-09-02 |
1487071809 | Andrea Naaum | Psychiatry & Neurology | 1909 Carew St, Fort Wayne, IN 46805 | 2014-03-24 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46807 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.